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Assessment and support for stammering
Stammering is a complex condition that affects fluency when speaking and presents differently from person to person. The most common speech patterns in stammering are:
– Repetition of whole word (e.g. but-but-but) or part of a word (e.g. mu-mu-mu-mummy)
– Prolongation (e.g. mmmmmummy)
– Blocks (e.g. ——–mummy)
However, some people also present with facial tension, extra body movements, unusual breathing patterns and avoidance of words or certain situations.
Stammering is usually noticed in young children between the age of 2 and 5. Some children grow out of it whereas others may continue to stammer for a bit longer and others may continue into adulthood. To make specialist recommendations to support a child’s fluency, it is paramount to carry out a detailed assessment.
What to expect?
Initial assessment and diagnosis
Once parents/carers have signed our terms and conditions and completed the introductory questionnaire, one of our speech and language therapists will contact you to arrange an initial screen. This can take place face-to-face at our clinic or on the phone and will last between 45 and 60 minutes. We invite both parents/carers to take part in this screen, if possible.
Following the initial screen, the therapist will provide recommendation:
– advice and monitoring
– detailed assessment
In some cases, strategies and advice for parents/ carers around supporting their child’s communication at home might be all that is needed. This information will also be shared with the educational setting, as it is important for all those working with the child to provide consistent support.
When more assessment is required, this will take place during separate appointments and include both parents/carers and the child. Following this, the therapist will provide
feedback from the assessment and recommendations for therapy. Therapy will involve parents/carers and the child.
Treatment and management
Recommendations and plan for treatment are decided on an individual basis, depending on the outcome of the assessment.
Parents/carers will be asked to attend and take part in intervention in order to carry on using strategies consistently at home.
Education/School staff will also be provided with advice on supporting the child’s fluency.
Therapy options include:
– Palin PCI
– Family communication skills therapy
– 1:1 speech management
– Liaison with educational setting
– Onward referral